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Behavioral Health Referral Form Please attach pertinent collateral information. This includes police reports/incident reports, case notes and past treatment/hospitalization records Referral Source
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What is Please attach pertinent collateral ination Form?

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Please attach pertinent collateral refers to the request to provide relevant supporting documents or materials that are necessary to substantiate a submission, application, or claim.
Individuals or entities submitting certain applications, requests, or forms that require additional documentation or evidence to support their claims are required to file please attach pertinent collateral.
To fill out the request for please attach pertinent collateral, complete the main application or form as directed and include a clear list of all collateral documents being attached, ensuring each document is properly labeled and organized.
The purpose of please attach pertinent collateral is to provide necessary evidence that supports the details, claims, or requests made in the primary application or form, ensuring that the reviewing authority has all relevant information.
The information that must be reported on please attach pertinent collateral includes a description of the collateral documents, their relevance to the application, and any other pertinent details that might assist in the review process.
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